Browsing by Author "Haltrich, Irén"
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- Clinical and genetic findings in Hungarian pediatric patients carrying chromosome 16p copy number variants and a review of the literaturePublication . Lengyel, Anna; Pinti, Éva; Pikó, Henriett; Jávorszky, Eszter; David, Dezső; Tihanyi, Mariann; Gönczi, Éva; Kiss, Eszter; Tóth, Zsuzsa; Tory, Kálmán; Fekete, György; Haltrich, IrénThe short arm of chromosome 16 (16p) is enriched for segmental duplications, making it susceptible to recurrent, reciprocal rearrangements implicated in the etiology of several phenotypes, including intellectual disability, speech disorders, developmental coordination disorder, autism spectrum disorders, attention deficit hyperactivity disorders, obesity and congenital skeletal disorders. In our clinical study 73 patients were analyzed by chromosomal microarray, and results were confirmed by fluorescence in situ hybridization or polymerase chain reaction. All patients underwent detailed clinical evaluation, with special emphasis on behavioral symptoms. 16p rearrangements were identified in 10 individuals. We found six pathogenic deletions and duplications of the recurrent regions within 16p11.2: one patient had a deletion of the distal 16p11.2 region associated with obesity, while four individuals had duplications, and one patient a deletion of the proximal 16p11.2 region. The other four patients carried 16p variations as second-site genomic alterations, acting as possible modifying genetic factors. We present the phenotypic and genotypic results of our patients and discuss our findings in relation to the available literature.
- Clinical Severity of PGK1 Deficiency Due To a Novel p.E120K Substitution Is Exacerbated by Co-inheritance of a Subclinical Translocation t(3;14)(q26.33;q12), Disrupting NUBPL GenePublication . David, Dezső; Almeida, Lígia S.; Maggi, Maristella; Carlos, Araújo; Imreh, Stefan; Valentini, Giovanna; Fekete, Gyorgy; Haltrich, IrénCarriers of cytogenetically similar, apparentlybalanced familial chromosome translocations not alwaysexhibit the putative translocation-associated disease phenotype.Additional genetic defects, such as genomic imbalanceat breakpoint regions or elsewhere in the genome,have been reported as the most plausible explanation.By means of comprehensive molecular and functionalanalyses, additional to careful dissection of the t(3;14)(q26.33;q12) breakpoints, we unveil a novel X-linkedPGK1 mutation and examine the contribution of these tothe extremely severe clinical phenotype characterized byhemolytic anemia and neuromyopathy.The 3q26.33 breakpoint is 40 kb from the 50 region oftetratricopeptide repeat domain 14 gene (TTC14), whereasthe 14q12 breakpoint is within IVS6 of nucleotide-bindingprotein-like gene (NUBPL) that encodes a mitochondrialcomplex I assembly factor. Disruption of NUBPL intranslocation carriers leads to a decrease in thecorresponding mRNA accompanied by a decrease inprotein level. Exclusion of pathogenic genomic imbalanceand reassessment of familial clinical history indicate theexistence of an additional causal genetic defect. Consequently,by WES a novel mutation, c.358G>A, p.E120K,in the X-linked phosphoglycerate kinase 1 (PGK1) wasidentified that segregates with the phenotype. Specificactivity, kinetic properties, and thermal stability of thisenzyme variant were severely affected. The novel PGK1mutation is the primary genetic alteration underlying thereported phenotype as the translocation per se only resultsin a subclinical phenotype. Nevertheless, its co-inheritancepresumably exacerbates PGK1-deficient phenotype, mostlikely due to a synergistic interaction of the affected genesboth involved in cell energy supply.